Active NPI
Mark C Engasser M D P a
- Sports Medicine (Orthopaedic Surgery) Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 22841
- Legal business name
- MARK C ENGASSER M D P A
- Practice address
- 6600 France Ave S
Suite 615
Edina, MN 55435-1807 - Phone
- (952) 920-4333
- Fax
- (952) 920-6338
- NPI assigned
- May 1, 2007
- Last updated
- Jan 27, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Charles Engasser, M.D.
- Title
- Owner
- Phone
- (952) 920-4333
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 22841 | MN | Primary |
Addresses
Primary practice location
6600 France Ave S
Suite 615
Edina, MN 55435-1807
Mailing address
6600 France Ave S
Suite 615
Edina, MN 55435-1807
Phone (952) 920-4333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 856500700 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
6600 France Ave S
Ste 635
Edina, MN 55435
Phone (612) 327-9200
2000 Plymouth Rd
Ste 110
Minnetonka, MN 55305
Phone (952) 920-4333
305 Cedar St
Ste 101
Monticello, MN 55362
Phone (763) 295-3100
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Edina, MN
- NPI 1417911884
-
- Physical Medicine & Rehabilitation Physician
- Edina, MN
- NPI 1982696290
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Edina, MN
- NPI 1215997168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390780800000",
"number": "1881815322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 FRANCE AVE S",
"address_2": "SUITE 615",
"city": "EDINA",
"state": "MN",
"postal_code": "554351807",
"telephone_number": "952-920-4333",
"fax_number": "952-920-6338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 FRANCE AVE S",
"address_2": "SUITE 615",
"city": "EDINA",
"state": "MN",
"postal_code": "554351807",
"telephone_number": "952-920-4333",
"fax_number": "952-920-6338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK C ENGASSER M D P A",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2014-01-27",
"status": "A",
"authorized_official_last_name": "ENGASSER",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "952-920-4333",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MN",
"license": "22841",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "856500700",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.